Professional Documents
Culture Documents
APPENDIX L
Cayce Comprehensive Symptom Inventory (CCSI)
Copyright 1998 by David McMillin, all rights reserved.
2X
2X
2X
2X
2X
2X
2X
2X
2X
Name:
Age:
Date:
Sex:
SCALE 1
Cold extremities
Itchy or dry skin
Skin blemishes (eczema, psoriasis, rash, acne, etc.)
Hands or feet are numb or fall asleep
Lumps or tumors under skin
SCALE 1
SCALE 2
Kidney or bladder problems
Cold, clamminess over body
Cold area on abdomen
Tiredness or fatigue
Constipation
Stomach or intestinal gas
SCALE 2
SCALE 3
Stomach or intestinal gas
Indigestion or "sour stomach"
Nausea
Headache
Bad taste in mouth
Constipation
Anemia
General weakness and lack of energy or vitality
SCALE 3
SCALE 4
Heartburn
Belching
Indigestion
Regurgitation of food
Constipation
SCALE 4
SCALE 5
Catches cold easily
Prone to severe colds
Prone to congestion (head, throat or lungs)
Irregular or fast pulse
Tiredness or fatigue
SCALE 5
316
2X
2X
2X
2X
2X
2X
2X
SCALE 6
SCALE 7
Impaired or distorted sense of taste
Impaired or distorted sense of smell
Impaired or distorted vision
Impaired or distorted hearing or tinnitus
Feeling of fullness in throat or face
Supersensitive reactions to sounds, actions, smells, etc.
SCALE 7
Scale 8
Decreased urination
Urine has strong odor
Burning sensation during urination
Puffy under eyes or burning of eyes or blurred/dimmed vision
Swelling or heaviness in lower extremities
Aching muscles and/or joints (rheumatism)
SCALE 8
SCALE 9
High blood pressure or palpitations
Headaches
Lower back pain or sciatic pain
Tiredness or fatigue
Constipation
SCALE 9
SCALE 10
Dental problems such as weak enamel or cavities
Dry, faded, or thinning hair
Finger nails split or break off
Poor resistance to disease
Low blood pressure or poor circulation to extremities
SCALE 10
317
2X
2X
2X
3X
3X
2X
SCALE 11
SCALE 12
Swelling or heaviness in lower extremities
Lower back pain (lumbago)
Burning or irritation of eyes or dimness of vision
Dizziness
Nausea
Headache
SCALE 12
SCALE 13
Abnormal appetite (increased, decreased, or erratic)
Indigestion or high acidity in stomach, throat, or mouth
Stomach or intestinal gas
Abnormal heart action (low or high) or discomfort around heart
Stomach empties too slowly or too quickly after eating
Headaches
Nausea
Constipation
SCALE 13
SCALE 14
Skin blemishes (eczema, psoriasis, rash, acne, etc.)
Swollen or painful joints (arthritis or rheumatism)
Indigestion or stomach or intestinal gas
Tender spots or painful areas over the body
Nasal congestion (catarrh) or sinus problems
Headache
Depression
Constipation
SCALE 14
SCALE 15
Dry or thinning hair or ends of hair split
Nails brittle or thin, nails split or break, or peal around cuticle
Chronic dental problems
Dry or rough skin
Depression
Tiredness or fatigue
Lack of interest in sex
Fullness, contraction, or choking sensation in neck or throat
SCALE 15
318
2X
2X
2X
2X
2X
SCALE 16
SCALE 16
Difficulty thinking or remembering; absentminded; slow to react
Involuntary or uncoordinated movements (tics, twitches, tremors)
Difficulty walking or maintaining balance
Incontinence or drooling
Sensory system impairment (speech, hearing, taste, or smell)
Conscious awareness of involuntary process - digestion, bloodflow,
etc
SCALE 17
History of seizures or convulsions
Cool or cold spot on right side of abdomen
Lapse or loss of consciousness
Injury to tailbone or soreness of tailbone
Constipation
Abnormal mental and physical development
Injury, pain or soreness on right side of abdomen below last rib
SCALE 17
SCALE 18
Anger or hate
Resentment, bitterness, or jealously
Anxiety, worry, or fear
Depression
Hereditary predisposition for illness or prenatal condition
SCALE 18
SCALE 19
Sensory system impairment (speech, hearing, taste, or smell)
Tiredness or fatigue
Depression
Constipation
Thinning of hair or loss of body hair
Underweight
Splotches or blotches (white) on skin
Dark circles under the eyes
SCALE 19
SCALE 20
Headache
Abnormal blood pressure (high, low, or erratic)
Abnormal pulse (quick, slow, or irregular)
Fever or temperature at times without apparent cause
Feeling of fullness in throat or face
Hot and/or cold sensations (flushing)
Abdominal pain or aching across lower portion of hips
Kidney or bladder problems
SCALE 20
319
2X
2X
3X
2X
2X
3X
2X
2X
SCALE 21
Tiredness or fatigue
Heart palpitations or rapid pulse
General weakness
Shortness of breath
Fever or temperature at times without apparent cause
Underweight
Dizziness
Indigestion
SCALE 21
SCALE 22
History of irritable bowel syndrome or inflammatory bowel disease
History of intestinal flu
Mucous in stool
Diarrhea
Intestinal gas
SCALE 22
SCALE 23
Pain along right rib cage, right shoulder or arm, or upper right back
Constipation
Nausea
Headaches, especially after eating
Fever
Intolerance to fats or greasy foods
Bad breath or bad taste in mouth not directly due to food or drink
Brown, yellow, or gray colored skin or brown splotches on skin
Dizziness
Abnormal pulse (quick, slow, or irregular)
Shortness of breath
SCALE 23
Scale 24
Shortness of breath
Cough
Feeling of heaviness, fullness or pain in lungs
Prone to congestion (head, throat or lungs)
Wheezing
Hay fever or other respiratory allergy
SCALE 24
Scale 25
SCALE 25
Over or under-reactive to stimuli, or slow to react
Lack of discernment or insight
Poor concentration
Poor memory
Difficulty doing analysis or calculations
Irrationality or delusional thinking
Incoordination of movements or reflexes, or paralysis due to stroke
320
3X
3X
2X
3X
Scale 26
Slow pulse
Rapid pulse
Palpitation or throbbing of heart
Low blood pressure
High blood pressure
Erratic blood pressure (sometimes high, sometimes low)
Chest pain (angina) or feeling of fullness around heart
Fluttering of heart
SCALE 26
Scale 27
Indigestion 1 to 3 hours after eating
Intestinal gas
Constipation
Diarrhea
Mucous in stools
SCALE 27
Scale 28
Excess sugar in urine (sweet smelling urine or high urine test)
Urination is frequent, excessive, or scant
Wounds heal slowly
Kidney or bladder problems
Impaired or distorted vision
SCALE 28
Scale 29
Pain or discomfort on left side of abdomen
Low blood pressure
Rapid pulse
Nausea
Highly suggestible or overly imaginative
Mood swings or emotional upsets
SCALE 29
Scale 30
Infertility
Abnormal sex drive (high, low, or absent)
Menstrual or menopausal problems (female)
Prostate problems or impotence (male)
Pelvic pain or discomfort
SCALE 30
321
Scale Title
Poor Superficial Circulation
Cold Hepatic Circulation
Gastric Hypoacidity
Gastric Hyperacidity
Systemic Hyperacidity
Torpid (Sluggish) Liver
Sensory System Dysf.
Kidney Dysfunction
Systemic Toxicity
Low Calcium
Lack of Coagulation
High Urea
Stomach Position
Intestinal Permeability
Hypothyroid
Vol./Invol.Incoordination
Lacteal Duct Adhesions
Psychological
Hypoadrenal
High Hepatic Circulation
Anemia
After Effects of Intestinal Flu
Gallbladder Dysfunction
Respiratory Dysf.
Brain Dysfunction
Abnormal Heart Action
Pancreatic Exocrine Dysf.
High Blood Sugar
Spleen Dysfunction
Reproductive System
Scale
Scale 1
Scale 2
Scale 3
Scale 4
Scale 5
Scale 6
Scale 7
Scale 8
Scale 9
Scale 10
Scale 11
Scale 12
Scale 13
Scale 14
Scale 15
Scale 16
Scale 17
Scale 18
Scale 19
Scale 20
Scale 21
Scale 22
Scale 23
Scale 24
Scale 25
Scale 26
Scale 27
Scale 28
Scale 29
Scale 30
Score
Global Score
322